splenic marginal zone lymphoma and concurrent membranoproliferative glomerulonephritis with igmkappa deposits in a hcv-seropositive patient

نویسندگان

eleni chelioti department of nephrology, general hospital of piraeus, athens, greece; department of nephrology, general hospital of piraeus, agiaslavras 111, zografou, 15773 athens, greece. tel: +30-6976620560, fax: +30-2104532732

evdokia efthimiou department of nephrology, general hospital of piraeus, athens, greece

maria sotiraki department of nephrology, general hospital of piraeus, athens, greece

alexia papalexandrou department of nephrology, general hospital of piraeus, athens, greece

چکیده

we report a case of membranoproliferative glomerulonephritis (mpgn) with igmκ light chain deposits in a patient with chronic hepatitis c infection and simultaneous onset of monoclonal igmκ gammopathy with concurrent small b-cell lymphoproliferative disease. the patient presented with hepatosplenomegaly and a uremic state that necessitated dialysis without any clinical signs of systemic disease apart from the chronic infection with hepatitis c virus. the diagnostic approach led to a renal biopsy that revealed mpgn with dominant igmκ deposits and interstitium infiltration by the lymphoid cells. the bone marrow biopsy findings were consistent with splenic marginal zone lymphoma, a rare lymphoproliferative disorder with a rare association with mpgn. our case indicates high diagnostic value of renal biopsy for rare lymphoplasmacytic neoplasms with renal dysfunction as their predominant clinical manifestation.

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Splenic Marginal Zone Lymphoma and Concurrent Membranoproliferative Glomerulonephritis With IgMKappa Deposits in a HCV-Seropositive Patient

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عنوان ژورنال:
nephro-urology monthly

جلد ۶، شماره ۴، صفحات ۰-۰

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